178383 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 356973 Page 1 of 1
ONE CIVIC SQUARE SNIFFLER EQUIP SALES INC
CARMEL, INDIANA 46032 P 0 BOX 92463 CHECK AMOUNT: $84.76
oa CLEVELAND OH 44193 CHECK NUMBER: 178383
CHECK DATE: 10/14/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT D ESCRIPTION
,.1205 42370 0927210000 84.76 REPAIR PARTS
o�
EQUIPMENT SALES, INC, rL x�voee
P.O. Box 714589 ale N uml u
Columbus, OH 43271 -4589 09/29/2009 1 0927210000
Phone: (800) 547 -1539 Fax: (800) 547 -1535
Web www.shifflerequip.com
�11� T4` Sill TO.:'
Attn: Jeff Barnes
City Of Carmel City Of Carmel
1 Civic Sq 1 Civic Sq
Carmel IN 46032 -2584 Carmel IN 46032 -2584
.;Account
Ordered< Shipped :::Customer:;P.O# Telephone,.: Terms of i Sale Ship.Method
250990 09/29/09 09/29/09 2448 317.571.2448 100 NET 30 UPSGROUND -ST
Item D UM QOR. QBO QSH. Price: Amount
P520ME ADA..Turn Knob Set wiC.h Flat:: Bar: EA 10 2 8 9..29; 79 :'32
T
for Metpar or Ampco Partitions
Comments: Thank you for your order!!! Please call our
customer service :department: if you Piave any
questions about your order.
Repair, Replace, Relax...
We know: wha :you. :;need.
Merchandise Shipping Add f'Charge COD Charge'Other Charge Tax Invoice Total
74.32 10.44 0.00 0.00 0.00 0.00 84.76
REMIT PAYMENT IN US TO THE ADDRESS ABOVE
Are your buyers receiving.an 'A' in savings? Have
them register online for monthly e -mail promos at
AH
www.shifflerequip.com
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
cc Payees
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO.414 WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
��5 wi I oar 3 U bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signat e
Cost distribution ledger classification if Itle
claim paid motor vehicle highway fund